Plumbing reached its early apex in ancient Rome, which saw the introduction of expansive systems of aqueducts, tile wastewater removal, and widespread use of lead pipes. With the Fall of Rome both water supply and sanitation stagnated—or regressed—for well over 1,000 years. Improvement was very slow, with little effective progress made until the growth of modern densely populated cities in the 1800s. During this period, public health authorities began pressing for better waste disposal systems to be installed, to prevent or control epidemics of disease. Earlier, the waste disposal system had merely consisted of collecting waste and dumping it on the ground or into a river. Eventually the development of separate, underground water and sewage systems eliminated open sewage ditches and cesspools.
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The word "plumber" dates from the Roman Empire. The Latin for lead is plumbum. Roman roofs used lead in conduits and drain pipes and some were also covered with lead, lead was also used for piping and for making baths. In medieval times anyone who worked with lead was referred to as a plumber as can be seen from an extract of workmen fixing a roof in Westminster Palace and were referred to as plumbers "To Gilbert de Westminster, plumber, working about the roof of the pantry of the little hall, covering it with lead, and about various defects in the roof of the little hall". Thus a person with expertise in working with lead was first known as a Plumbarius which was later shortened to plumber.